Othman, David Zachary
Othman, David Zachary is an sole proprietor health care provider with primary practice located at 2202 N Halsted St Ste 1 , Chicago IL 60614-3625. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / Procedural Dermatology is his primary health care specialty. Othman, David Zachary can be contacted via phone (312) 600-5826.Contact Information
Primary practice address
2202 N Halsted St Ste 1
Chicago IL 60614-3625
Phone: (312) 600-5826
Fax: (872) 260-5008
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Dermatology | 207NP0225X | 036144735 | Illinois |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | 143497 | California |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | 036144735 | Illinois |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 036144735 | Illinois |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 143497 | California |
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | 036144735 | Illinois |
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | 143497 | California |
Profile Details
| NPI number | 1760741938 |
|---|---|
| LBN Legal business name | Othman, David Zachary |
| Credentials | M.D., M.H.S.A |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 9th, 2012 |
| Last updated | Dec 23rd, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760741938 | NPPES |
| Florida | MEDICAID | 024369500 |
Popular Providers
-
Banuchi, Sirirat R
4849 N Milwaukee Ave , Chicago IL 60630-5100 -
Feinberg, James Steven
1801 W Taylor St 3E, Chicago IL 60612-4319 -
Lapiere, Jean Christophe
737 N Michigan Ave Ste 2310, Chicago IL 60611-2635 -
Hernandez, Claudia
1801 W Taylor St Suite 3E, Chicago IL 60612-4319 -
Fisher, Thomas Lee
47 W Polk St Lbby G1 , Chicago IL 60605-2087 -
Fugali, Valeria
1807 N Mohawk St Unit B, Chicago IL 60614-5213 -
Bolotin, Diana
5841 S Maryland Ave Mc 5067, Chicago IL 60637-1447 -
Pinski, Kevin Scott
150 N Michigan Ave Ste 1200 , Chicago IL 60601-7605